Cited by 215Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseMental Health Treatment and Access

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Suicide and Social Change in China

Phillips, Michael R., Liu, Huaqing, Zhang, Yanping·1999·Culture, Medicine and Psychiatry

Abstract

Using recently available data from China's Disease Surveillance Points system, we estimate that there are over 300,000 suicides in China per year; this makes suicide one of the most important causes of death in the country and makes the suicide rate in China one of the highest in the world. Moreover, the pattern of suicides in China is quite different than in other parts of the world--there are more completed suicides among females than males and rural rates are three-fold urban rates. The lack of reliable suicide data prior to 1987 makes it difficult to determine whether the rates are currently rising, falling, or staying constant. However, reports of suicides in the Chinese press and case studies conducted by the authors suggest (but do not prove) that the high rates of suicide currently experienced are related to the social changes that have occurred with the economic reforms (which started in 1978). Another possible explanation for the high rates of suicide is the large numbers of persons with depressive illness in China who remain untreated. Single-cause models of suicide (i.e., social factors or mental illness) do not do justice to the complexity of the processes involved and, therefore, do not provide useful information about the etiology and prevention of suicide in China or elsewhere. We describe our own dynamic model of suicide that includes five interacting factors which, we believe, collectively determine the suicide rates in a community.

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Research works printed but not linked: 19

  1. Chinese Academy of Preventive Medicine 1992 1990 Annual Report on Chinese Disease Surveillance. Beijing: Hua Xia Publishing House (in Chinese).
  2. 1993 1991 Annual Report on Chinese Disease Surveillance. Beijing: Hua Xia Publishing House (in Chinese).
  3. 1994 1992 Annual Report on Chinese Disease Surveillance. Beijing: Hua Xia Publishing House (in Chinese).
  4. 1995 1993 Annual Report on Chinese Disease Surveillance. Beijing: Hua Xia Publishing House (in Chinese).
  5. 1996 1994 Annual Report on Chinese Disease Surveillance. Beijing: Hua Xia Publishing House (in Chinese).
  6. Chinese Bureau of Statistics 1992 China Population Statistics Yearbook 1992. Beijing: China Statistics Publication Office (in Chinese).
  7. 1995 China Population Statistics Yearbook 1995. Beijing: China Statistics Publication Office (in Chinese).
  8. 1996 China Population Statistics Yearbook 1996. Beijing: China Statistics Publication Office (in Chinese).
  9. Chinese Medical Association and Nanjing Medical University 1995 Chinese Classification of Mental Disorders, second edition, revised (CCMD-2-R). Nanjing: Dong Nan University Press (in Chinese).
  10. Lin, Y.H. 1990 TheWeight of Mount T'ai: Patterns of Suicide in Traditional Chinese History and Culture. Ph.D. Thesis, The University of Wisconsin, Madison.
  11. Marecek, J. 1994 Focus on Suicide: Explanations for the Responses to Suicidal Behavior in Sri Lanka. In: Distress, Despair, and Suicide in a Confused World. London: Befrienders International, 87–97.
  12. 1989 Psychological Approaches to Understanding Suicide. In: Padmasiri De Silva, ed., Suicide in Sri Lanka. Colombo, Sri Lanka: Redd Barna, 16–24.
  13. Mosher, S.W. 1983 Broken Earth. New York: The Free Press.
  14. Murray, C.J.L. and A.D. Lopez 1996a Global Health Statistics. Cambridge: Harvard University Press.
  15. 1996b The Global Burden of Disease. Cambridge: Harvard University Press.
  16. Shen, Y.C., W. Zhang, Y. Wang et al. 1992 Epidemiological Survey of Alcohol Dependence in Populations of Four Occupations in Nine Cities in China. Chinese Mental Health Journal 6(3): 112–115 (in Chinese).
  17. Tsoi, W.F. and L.P. Kok 1995 Mental Disorders in Singapore. In: Tsung-Yi Lin, Wen-Shing Tseng and En-Kung Yeh, eds., Chinese Societies and Mental Health. Hong Kong: Oxford University Press, 267–278.
  18. 1991 World Health Statistics Annual 1990, 346–368. Geneva: WHO.
  19. 1994 World Health Statistics Annual 1993, 356–361. Geneva: WHO.

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Metadata

Authors
Phillips, M. R., Liu, H., & Zhang, Y.
Affiliations
Beijing HuiLongGuan Hospital (CN)
Venue
Culture, Medicine and Psychiatry
Published
1999-03
Volume
23
Issue
1
Pages
25-50
ISSN
  • 0165-005X (ISSN-L)
  • 1573-076X
OpenAlex
W1563422447
Cited by
211
References
26
Citations by year
2026: 1 · 2025: 1 · 2024: 8 · 2023: 3 · 2022: 2 · 2021: 11 · 2020: 8 · 2019: 3 · 2018: 8 · 2017: 10 · 2016: 7 · 2015: 13 · 2014: 12 · 2013: 14 · 2012: 10
FWCI
7.04
Type
journal article
Language
en
Open access
closed
Locations
  • Culture Medicine and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
Ford Foundation
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords
suicide, suicide rates, social change, economic reform, urban-rural differences, sex differences in suicide, untreated depression, causes of suicide, suicide prevention, China
MeSH terms
Adolescent, Adult, Aged, China, Culture, Female, Humans, Life Change Events, Male, Middle Aged, Rural Population, Social Behavior, Suicide, Urban Population, Cost of Illness, Sex Distribution

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